Chapter 276: Traditional Chinese Medicine is inefficient
Imported Tamiflu granules cost more than 100 yuan per box, and imported Mabaloxavir costs more than 200 yuan per box.
If the flu breaks out, the price will at least increase several times. Even in 2013, patients without medical insurance also found the price difficult to deal with.
A blood test and a chest CT scan cost more than 300 yuan, and I had to prescribe some flu medicine. This is what patients online are complaining about. Damn, I spent five or six hundred yuan to treat a cold. The hospital is so shady.
Lin Sanqi had already inquired when he was collecting nucleic acid samples. He found out that those who dared to go to the hospital for treatment were basically from families with formal jobs, or at least wealthy families in the countryside.
This group of people cannot be considered poor in the full sense of the word.
Just like Zou Jinxing's family. Zou Jinxing is the deputy director of the commune and his wife works in the supply and marketing cooperative. They still have 100 yuan in their pockets. People like this are mentally prepared for the high cost of medical treatment.
Even in order to save a life, we can do anything, and spending a few hundred yuan is not a problem.
Therefore, although the fee of 5 yuan for children and 8 yuan for adults is very expensive, it is within their acceptable range.
The truly poor, the families so poor that the whole family only has one pair of pants, will not go to the hospital when they are sick. They will just endure it at home or go up the mountain to pick some herbs themselves.
To put it bluntly, they are self-aware and know that they cannot afford to go to the hospital, so they simply don't come and get into trouble.
It was not until 1965 that ordinary people in China dared to take medicine when they were sick. The great man issued the instruction to "focus medical and health work on rural areas", and the cooperative medical system began to be implemented nationwide.
After several years of efforts, a nationwide boom in rural cooperative medical care emerged in 1969.
The method was that each person paid 1 yuan per year for cooperative medical care, and the production team paid another 0.1 yuan from the public welfare fund based on the number of participants.
Except for some chronic diseases that require year-round medication, members only have to pay a registration fee of 5 cents each time they see a doctor, and the medication is free.
The commune clinic typically had 12 medical staff. With the exception of two who were temporarily receiving fixed salaries, the remaining 10 received work points, just like the brigade's main cadres. They also received a monthly cash subsidy of 3 to 5 yuan, depending on their circumstances.
In the wealthier areas at that time, 99% of the people in the commune participated in cooperative medical care, which basically solved the problem of people being unable to afford medical treatment and medicine.
Unfortunately, by the end of the 1980s, with the start of the household contract responsibility system, cooperative medical care was discontinued and most people could not afford medical treatment. The situation of falling into poverty or returning to poverty due to illness occurred again.
Back in 1960, most people who went to the hospital had enough money in their pockets and would not owe any bills.
A very small number of people do not have money to see a doctor. By paying for their medical treatment, it is actually free and will not lead to the financial collapse of the hospital. It can be regarded as "robbing the rich to help the poor" in another sense.
When Wang Lingshe heard Lin Sanqi's charging plan, his brows furrowed and he complained softly:
"Chief Lin, you gave me this medicine. You have to pay for it yourself. Can you afford to treat this patient and let the money go to the hospital? There are hundreds of patients outside right now, and thousands more will arrive later. Are you stupid?"
Lin Sanqi thought, I'm just trying to trade medicine for medicine, what's the point of money? He doesn't care about money.
"Sister Wang, don't worry, I know what's going on. Dean Shen won't let me suffer any loss. Let's save people first."
Seeing that Lin Sanqi refused to listen, Wang Lingshu looked at Pan Ye standing aside, signaling Pan Ye with his eyes to control this prodigal son.
Pan Ye is a good girl, and she just does whatever her boyfriend says, so she just laughs:
"Sister Wang, I'll listen to Sanqi."
Wang Lingshu slapped his forehead and thought to himself that young people don’t know how expensive food and fuel are until they manage the household. Men are stupid, and women are even more stupid. What will happen to the children they will have in the future?
"Okay, I don't care about you guys anymore. Don't cry when the time comes, hehe."
Lin Sanqi started seeing patients in the morning, ate a steamed bun at noon, and was busy until the evening before leaving get off work. He saw more than 240 patients a day and charged a total of 1,500 yuan.
In 1960, when the average salary was only 30 or 40 yuan, 1,500 yuan was definitely a huge sum of money, and this was a doctor's daily "turnover".
From this we can see how much cash flow the hospital has?
So the hospital really has no shortage of money, the problem is that the value of the money is too low. It cannot be used to buy food or pork, and can only be used to buy medicinal materials.
Leaders of other units would be overjoyed to see the hospital's turnover soar, but today Dean Shen looked a little worried instead of happy.
Bungalow dormitory area.
Pan Ye brought a bowl of pork porridge to his future father-in-law. Patients should eat light food, and with some pickles, it was a delicious delicacy.
"Uncle Lin, please have some porridge."
"Okay, okay, thank you, Xiaoyezi, for going to work and taking care of an old man like me."
Lin Kucan is quite satisfied with his future daughter-in-law. She has a good family background, is a college graduate, is good-looking and filial. She is definitely the "dream daughter-in-law" of the elderly.
Pan Ye brought the second bowl of porridge to Dean Shen. Dean Shen had a sore at the corner of his mouth at this time. He was lying in the pit, looking very unhappy with a lot on his mind.
“Dean Shen, please have some porridge.”
"Oh, okay, just put it here, I'll eat it later, alas..."
Pan Ye thought the old man was worried about the epidemic, so he didn't think much about it and handed the third bowl of porridge to Lin Sanqi, who was also leaning against the wall motionless.
After working for more than ten hours that day, Lin Sanqi was exhausted, his whole body ached, and he didn't even have the strength to lift his hand to pick up chopsticks.
Being a doctor is not only a mental job, but also a physical job, which feels like working like a horse or an ox.
After get off work, I just want to lie down and close my eyes to rest for a while, or play with my phone. Anyway, I don’t want to do housework or write.
Seeing that her boyfriend didn't want to move, Pan Ye quietly reminded him: "Look at Dean Shen, what's wrong?"
Lin Sanqi stretched his head and saw the old man lying on the kang, looking a little surprised. "Uncle Shen, what happened to you? Have you also been infected with the plague?"
Dean Shen rolled his eyes at Lin Sanqi and said to himself:
"We can't compete, we really can't. The Union Hospital's clinical cure rate for this plague is much higher than our Chinese Medicine Hospital. It looks like we're going to lose this duel. I'm so angry!"
Lin Sanqi got up feeling a bit puzzled, thinking that something was wrong, as the miracle drugs for treating influenza, Mabaloxavir and Oseltamivir, had not been invented yet.
Similarly, highly effective fever-reducing drugs such as ibuprofen, loxoprofen, and diclofenac sodium have not yet been invented.
Even the most common acetaminophen, sold under the trade name Priligy, was only launched in the United States in 1958 and was certainly not introduced in China.
Lin Sanqi couldn't think of any other medicines at Union Hospital that could fight the flu virus or reduce fever, and still achieve good results?
"Uncle Shen, our hospital mainly uses traditional Chinese medicine for treatment, while Union Hospital must use Western medicine. Do you know what medicine they use?"
"Well, I don't know about that either. I don't really understand Western medicine either."
Suddenly, Dean Shen thought of something and suddenly laughed: "Xiao Qi, don't you know Western medicine? Why don't you go and ask around?"
This was a matter of reputation for the Chinese Medicine Hospital, and Lin Sanqi didn't want to be overtaken by Union Hospital, so he forced himself to stand up.
"Okay, I'm also curious about how they treat it, let's go and take a look."
Pan Ye called from behind: "Would you like to have some porridge first? You've been busy all day."
Lin Sanqi waved his hand: "No more food, no appetite, you guys eat first."
Dean Shen felt relieved when he saw Lin Sanqi coming out. He looked at the bowl of porridge in front of him, then at the bowl of porridge opposite Lin Sanqi, took it without hesitation, and drank it happily.
Outpatient area
It was almost evening, but patients were still coming in an endless stream. Lin Sanqi mingled with the crowd, trying to peek in to see how Western medicine treated patients in this era. This was the curiosity of a future time traveler.
There are obviously more people queuing at Union Hospital than at Chinese Medicine Hospital. The patients are very smart and don’t care whether you use traditional medicine or imported medicine. They will just follow whichever medicine works.
It’s the same principle as worshipping Buddha. It doesn’t matter which religion you belong to, as long as it’s effective, it’s fine.
The Chinese Medicine Hospital has 20 outpatient clinics, and Lin Sanqi is just one of them. Even though he used the miracle medicine, there was no effect after just one day.
On the contrary, Union Hospital has several drugs that can quickly reduce fever. Patients spread the word from one to ten, and from ten to a hundred, so naturally everyone came here.
Lin Sanqi wore a mask, blended into the crowd, pretending to be a patient, and it was his turn in less than two hours.
Lin Sanqi estimated and thought that the efficiency of traditional Chinese medicine was really not as good as that of Western medicine.
Traditional Chinese medicine emphasizes observation, auscultation, questioning and palpation. When a patient comes in, the doctor observes your complexion, looks at your tongue coating, asks you questions for a long time, and then squints to feel your pulse, first feeling the left pulse and then the right pulse.
Then I would carefully consider the prescription based on the condition and severity of each patient, and still use a brush to write.
It would take at least ten minutes to see one patient, so at most I could see no more than 10 patients in an hour, and the maximum I could see was 100 patients in a day.
Western medicine is different, especially when there's a clear epidemic. When a patient comes in, the most they'll ask is, "How many days have you had a fever?" "Where do you feel unwell?"
Then he looked at the throat, listened to the lungs, and quickly wrote a prescription with a pen. It took two or three minutes at most.
Decades later, netizens often complain that they waited in line for two hours and only saw the doctor for two minutes. While they were still talking about where they felt uncomfortable, the doctor had already written a check-up list on the computer, and some even wrote a prescription and asked them to go get the medicine directly.
This is the efficiency of Western medicine. It takes Western medicine doctors to see 5 patients, while Chinese medicine doctors only take the time to see 1 patient.
Then from the perspective of economic benefits, for every one share earned by traditional Chinese medicine, Western medicine has earned five shares. These are all achievements.
What else can I say? Traditional Chinese medicine hospitals are also desperately buying machines and instruments, vigorously developing Western medicine clinical departments, and then selling dog meat under the guise of sheep meat, calling it the good effect of combining Chinese and Western medicine.
According to Lin Sanqi, Chinese medicine hospitals should not adopt Western medicine methods. They should focus on specializing in their fields and study and promote Chinese medicine. Even if they want to make money, they should make money through Chinese medicine.
Soon, it was Lin Spy Sanqi’s turn to be seen and he sat in front of the doctor from Union Hospital.
"How many days have you had the fever?"
(End of this chapter)
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